Rapidly Changing Tachyarrhythmia in Acute Stroke

نویسندگان

  • Arezoo Ahmadi
  • Atabak Najafi
  • Ebrahim Hazrati
  • Masoud Ramezani
  • Mojtaba Mojtahedzadeh
  • Reza Shariatmoharari
چکیده مقاله:

Introduction: we report a 56-year-olds female with supraventricular arrhythmia due acute ischemic stroke without structural heart disease. Case Description: A patient presented with sudden onset of lethargy, right hemiplegia, and global aphasia. There was previous history of stroke 1 year ago presented with left hemiplegia that recovered completely during 10 days. There was no history of comorbid illness. The brain CT revealed extensive hypodensity in left temporoparietal region suggestive of infarct without midline shift. General examination revealed hypotension and bradycardia that treated with dopamine that gradually recovered during 5 days thus infusion of dopamine discontinued, and muscular power in paretic limbs and aphasia was recovered. In 6th day of admission electrocardiographic monitoring of patient showed a rapidly changing tachyarrhythmia including sinus tachycardia, atrial fibrillation, and atrial flutter that quickly interchanged to another, without hemodynamic instability and alteration in mental status. Laboratory tests and TEE study were normal. During 48 hour arrhythmia relived spontaneously. Discussion: Stroke can cause any type of cardiac arrhythmias that may not be constant.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

rapidly changing tachyarrhythmia in acute stroke

introduction: we report a 56-year-olds female with supraventricular arrhythmia due acute ischemic stroke without structural heart disease. case description: a patient presented with sudden onset of lethargy, right hemiplegia, and global aphasia. there was previous history of stroke 1 year ago presented with left hemiplegia that recovered completely during 10 days. there was no history of comorb...

متن کامل

Changing Paradigm in Acute Stroke Management

J Neurol Stroke 2017, 6(4): 00206 Thrombolysis (PROACT) followed by the PROACT II [3] have laid the foundation for IA-thrombolysis. Recanalization in the range of 66%, complete Recanalization (Thrombolysis in Myocardial Infarction [TIMI] grade 3) in 19% and improved outcome with IA-thrombolysis made it a definite advantage over IV rt-PA. Despite higher recanalization rates, the relative unpredi...

متن کامل

dysphagia in acute ischemic stroke

Introduction: Swallowing dysfunction complicates acute strokes in 25-32% of cases and directly affects patientschr('39') prognosis and recovery. Dysphagia complicates the course of acute strokes through its potential of the development of chest infection, nutritional problems, and dehydration.  Dysphagia is also an independent predictor of respiratory morbidity and mortality in acute stroke. In...

متن کامل

Acute Phase Reactants as a Prognostic Factor in Acute Stroke

Introduction: Elevated levels of CRP are present among patients at risk for further first-ever myocardial infarction and stroke. It has been shown that after ischemic stroke, increased levels of CRP are associated with unfavorable outcomes. Methods: From 120 patients admitted to the emergency unit of our hospital with the diagnosis of stroke CRP, D-dimer and ferritin level was measured and the ...

متن کامل

Silent stroke in patients with acute thrombotic stroke

Introduction: Brain stroke is the most common neurologic disorder and also the most common cause of mortality and morbidity in neurtologic patients. Thanks to new methods of radiography such as MRI, brain vascular lesions including silent stroke are demonstrated more carefully. This study considers the frequency of silent stroke in patients with acute thrombotic stroke in Rafsanjan by using M...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ذخیره در منابع من قبلا به منابع من ذحیره شده

{@ msg_add @}


عنوان ژورنال

دوره 4  شماره 2

صفحات  169- 171

تاریخ انتشار 2013-04

با دنبال کردن یک ژورنال هنگامی که شماره جدید این ژورنال منتشر می شود به شما از طریق ایمیل اطلاع داده می شود.

کلمات کلیدی

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023